The background to update of the 2003 NZPHG (New Zealand Patient Handling Guide) to the “Moving and Handling of People - The New Zealand Guidelines 2012”: An ACC perspective
Ähnlich wie The background to update of the 2003 NZPHG (New Zealand Patient Handling Guide) to the “Moving and Handling of People - The New Zealand Guidelines 2012”: An ACC perspective
Ähnlich wie The background to update of the 2003 NZPHG (New Zealand Patient Handling Guide) to the “Moving and Handling of People - The New Zealand Guidelines 2012”: An ACC perspective (20)
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The background to update of the 2003 NZPHG (New Zealand Patient Handling Guide) to the “Moving and Handling of People - The New Zealand Guidelines 2012”: An ACC perspective
1. Dr John Wallaart
PhD, MBA, DBS, Dip.Chem., Dip.OH&S Mgt
Programme Manager ACC Corporate Office
2. Background
• Industry
– Heavy metal (aluminium), Pulp and paper, etc
• Research
– The world’s first FPBR (Fan Supplied Positive Pressure Respirator)
• ACC - programme management
– Agriculture, e.g. FarmSafe
– Construction, e.g. SiteSafe
– NIHL (including “Dangerous Decibels”)
– Road transport
– Health
- etc
• Aviation
– CPL/Instrument Rating, etc
– Flew post around the southern part of NZ in evenings
3.
4.
5.
6.
7. Overview
• The history and background
• The 4 reports that led to the update of the guidelines
• The process in updating the guidelines
• Where to from here?
10. DHB and residential/aged care services, by duration of claim (on year)
700 $3,500,000
600 $3,000,000
500 $2,500,000
Active Entitlement Claims
Active Entitlement Costs
400 $2,000,000 Active Entitlement
300 $1,500,000 Cost of Active Claims
200 $1,000,000
100 $500,000
0 $0
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11. DHB and residential/aged care services, by injury site (one year)
250 $4,000,000
$3,500,000
200
$3,000,000
Active Entitlement Costs
New Entitlement Claims
150 $2,500,000 New Claims
$2,000,000
100 Cost of Active Claims
$1,500,000
$1,000,000
50
$500,000
0 $0
12. DHB and residential/aged care services, by cause of claim 2008/2009
400 $6,000,000
350
$5,000,000
300
$4,000,000
Active Entitlement Costs
250
New Entitlement Claims
New Claims
200 $3,000,000 Cost of Active Claims
150
$2,000,000
100
$1,000,000
50
0 $0
13.
14. Taxonomy-Residential care (2009)
Patient
Human handling 50%
925 claims 72%
353 > 60 days Equipment
handling
16%
Falls to the
Gravitational same level
25% 17%
Lift 37%
Patient
handling Push/Pull
5%
15.
16. The “lead-up” to the
new guidelines
• Thomas D and Y L. (2010). Survey of users of the
New Zealand Patient Handling Guidelines.
• Thomas D et al. (2009). Report on the review of the
New Zealand Patient Handling Guidelines.
• Thomas et al. (2009). Patient Handling Guidelines:
Literature Review.
• Ludcke J and Kahler R. (2009). Taxonomy of injuries
in Residential Care.
17. Survey of previous users
• Remove the 16kg weight limit
• Simplify forms and audit tools
• Make clear who the audience is for each section
• More information about training for patient handling
• Techniques for handling disabled or
non-compliant patients
• Update injury stats data
- etc
18. Report on the review of the
2003 NZPHG
• Many providers had done very little to develop an
adequate safety culture related to safe patient handling
• Review Panel strongly supported the guidelines as
a single comprehensive document
• The document is a resource for a wide range
of organisations
• The 2003 guidelines needed revision
• Cost/benefit information needed to be provided.
19. Literature Review
• Health care workers vulnerable because of:
– Job strain
– High physical workload
– Lack of lifting or other devices
- Etc
• Lateral transfers particularly
• Psychosocial
• Multi-factorial approaches
• Cost-Benefit analysis
20. Literature Review
• Cost-Benefit analysis
• Increasing weight of patients
• Legislative enforcement?
Many studies are limited in their usefulness
- etc
21. Moving and handling of people
- the New Zealand guidelines 2012
• Produced by a panel of people with
different backgrounds
• People with relevant experience brought
in periodically
• Written by Prof. D. Thomas followed by
– International expert (SME) review
– Public submissions
22. Chapters increased from 9 (2003)
to 14 (2012)
Has taken into account:
• Changing use of equipment
• Bariatric patients and other developments
– Recommendations based on best
available information
– It is not a Code of Practice
• Aiming to set a benchmark for future development
and improvement
23. Where to from here?
• Freely available
– CD/DVD format
– Online format
• Supported by short versions for front-line staff
• Translated versions
• Posters, etc
• Regional seminars planned for May and June
24. Immediate future plans
• Home Care industry
– Addition to the Guidelines
• Extramural course
(co-operative alliance between universities)
• Other views/ideas?